Good morning Kim,

Like the stewardesses say, “be careful accessing the overhead racks as articles tend to shift in flight.” I have never seen a class A result either from this office or from any other doctor, where after a few months something could be done to improve the appearance. May be a noticeable scar, or small separation that healed with a scar, or a urethral opening up too high or an elevated posterior lip, or a clitoris that is too prominent or could use more hooding, or labia majora that simply do not look youthful.

I strive to have all my patients be a visual “turn on.” Yes, I find the female genitalia very attractive and feel if someone is paying big bucks and entrusting their care to me, they deserve something really extraordinary.

We only want walking positive advertisements. For that reason, we do touch ups at no charge under local with IV sedation, with the understanding if the patient is overly anxious, or has a history of drug tolerance, or needs a fair amount of work to be done, they do have to pay for the services of anesthetist which never exceeds 600 and could be less. Everything else is on me and don’t forget to bring that ring pillow back again. Sitting on your incision line is not good for wound healing!

Sincerely,

Harold M. Reed, M.D.
305-865-2000

Dear Dr. Reed,

You have my photographs.  Hope you can make me as pretty as what I see on your web-site   srsMiami.com

April,     PS:  here is Camilla’s enthusiastic letter.

Dearest Dr. Reed, First of all, I will d?like to say THANK YOU VERY MUCH for your wonderful revision labiaplasty you did on me. I?M VERY HAPPY! Let me say hello and thanks to you secretary Anne, as well, such kindly and lovely. I had all of kind of attentions and care about the staff, and lots of care from you. I consider to advice all the folks need procedures about any kind of ?sexual gender problems? to go to Dr. Reed. He’s definetelly, is the best of surgeon and as good person. Thank you forever. Camilla

September 23, 2008

Good afternoon April,

Thank you for your excellent medical photographs.  Very helpful.

Yes, I agree the labia and clitoral hood are the most notable areas that need revision.  I do believe you will receive a result that will make you smile at last, no more double-take looks.

Last week we did a similar case, perhaps not as exaggerated as yours, and she was very pleased.  Here is a “thank you post” from our http://srsmiami.com/blog/

Thanks for Vaginoplasty Revision

September 21st, 2008

1. Camilla F. | pinko@pallino.it | srsmiami.com | IP: 87.18.47.195 Dearest Dr. Reed, First of all, I will d?like to say THANK YOU VERY MUCH for your wonderful revision labiaplasty you did on me. I?M VERY HAPPY! Let me say hello and thanks to you secretary Anne, as well, such kindly and lovely. I had all of kind of attentions and care about the staff, and lots of care from you. I consider to advice all the folks need procedures about any kind of ?sexual gender problems? to go to Dr. Reed. He?s definetelly, is the best of surgeon and as good person. Thank you forever. Camilla

Dear Dr. Reed I recently emailed you advising that I had SRS MTF sutgery. I asked about vaginal deepening procedures and labiaplasty. You wanted me to come in to your office. I will be in the Miami SOuth Beach area 02-28-2010 until 03-04-2010 iwanted to know if i can come into your office on a friday or monday .  Please email me back or call to verify appt dt and time !!!!!!
How you heard about us: annelawrence.com

January 24, 2010

Dear Nicole,

What a pleasant surprise to hear from you.

Preesently on retreat in the Carolinas followed by 2 fully booked weeks in Miami. But do call the office on Monday February 1, 2010 and schedule in.

Anne our amiable office manager should be very helpful.

With every best wish,

Harold M. Reed, M.D.,
305-865-2000

Re: When will a scrotal graft be necessary, Nessie

Hi Nessie,

The use of a scrotal graft is really necessary for any one who is seeking adequate depth for penetrating sex. For the past year we counsel the patient pre-op and do it at no extra charge, because we want you to be a happy. You never know when Mr. Right comes along.

Very rarely when a patient says do not do it, if they are confirmed asexual or lot older, and it is desirable to save 45 minutes of operating time, that step will be eliminated in the interest of patient safety. Unless someone has a stretched penile shaft skin length of 7 inches, we heartily recommend that
scrotal graft extension be done.

In conjunction with this we also recommend electrolysis starting 3 months before. We have seen hair grow back on patients who have last moment epilation in the operating room. Even if successful the trauma to the scrotal tissue may reduce ideal graft take.

The scrotum will stretch almost like a latex glove, so once the graft is above the level of the pelvic floor, you can build upon our depth to suit, providing you embark upon early and dedicated stent usage, until again Mr. Right comes along.

If dilation is painful initially, this is quite normal. Then consider EMLA cream or lidocaine jelly 2%. Please do not procrastinate. Your doctor will show you, using the palm of your hand, how hard you can push safely. Even if you just gain an 1/8″ every week, it adds up.

Harold M. Reed, M.D.
305-865-200

Can depth be added later on.  Now feel very asexual.

 Rundle

Our “party line” to all patients unless they insist, is go for depth as part of the original plan when you have vaginoplasty. This means if you need a scrotal graft, by all means this is the perfect time to do that. But you do have a responsibility to dilate to maintain depth and width, and even build upon that.

I have seen many patients acquire an additional 2 inches simply by using stents for 15 minutes with gentle pressure 5 or more times a day.

You never know when Mr. Right will come along and turn your latency upside down and re kindle all the loving and bonding mechanisms that nature has given you. They were there from the outset
but just dormant and maybe uneven suppressed for one reason or another. Yes, I also believe that female preference is a mentally acceptable expression, as does the American Psychiatric Association, however, this way you are ready.

Harold M. Reed, M.D.

I followed a GLBT advocate and counsellor. My talk on sexuality included as per syllabus from Dr. Clark…

Medical factors related to sexuality and sexual functioning

Objectives:

· Define the DSM sexual disorders, and discuss the following in relation to it: symptoms, factors increasing susceptibility, and prevention.
· Describe how surgical procedures, such as a hysterectomy, may affect a woman sexually, physically, and emotionally.
· Define hormone replacement therapy and explain its advantages and potential risks.
· Describe the incidence of, symptoms of, and treatment alternatives for penile cancer, testicular cancer, prostatitis, benign prostate hyperplasia, and prostate cancer. Describe tests for prostate cancer and treatment alternatives.
· Describe the reasons why women would choose to have or not have breast implants and controversies concerning the implants themselves.
· Learn how major disabilities my affect sexual function and expression. Learn coping and enhancement strategies for people with disabilities.

2 hours later with time for serious questions and answers, we were done. But aside from potty breaks their day was still going strong. Young therapists seeking their doctoral degrees, thirsty for knowledge. Commendable, Carol (who is a board certified sexologist with a doctoral degree, how many therapists can claim that!).   Dr. Carol L. Clark   (closest to our office)  305-757-6070 

Harold M. Reed, M.D.

305-865-2000

3 full vaginoplasties,  2 orchiectomies,  scrtoal removal, a revision of work done elsewhere.

All patients are doing excededingly well, some have already left the Baltic Hotel with a smile.

Two received financial assistancce.

We insist on hand held mirrors for each patient during a dressing change, so they can appreciate what we accomplished.

Patients are seen daily including Saturday and Sundays.

Harold M. Reed, M.D.
305-865-2000

— In MTF-SRS-FTM@yahoogroups.com, “kennyhilnager” wrote:
 Dr. Reed,
What are the typical reasons for touch ups and how much can be done
at one time?

Kenny

Hi Kenny,

Touch ups are either planned as the doctors may knows they have not been able to attended to every little detail in the interests of patient safety. The patient should be apprised during her recovery if not known at the outset. Often there will be a critique (work list) made by the patient and which is often supplemented by the doctor after he/she sees the patient. Ideally everything should be done at once, and the best time is a good 3 months after complete wound healing. This does not mean 3 months after surgery.

Areas often include: asymmetry of labia, need to lower the posterior commissure (for a more direct approach into the vagina), a urethral spongiosum rest (left over urethral erectile tissue which swells during arousal), re-siting of the clitoris or need the hood the clitoris, lowering the opening of the urethra, closure or approximation of the upper labia majora (mirror image parentheses), providing greater opening (introits) to the vagina, revising an unsightly scar.

As you know there is no charge in our office for this revision which is typically performed under local with IV sedation. For those patients who require or request general anesthesia, this amounts to 600 or less. We want you to look your very best. Please bring your work list.

Harold M. Reed, M.D.

Good morning Jasmine,

While we do breast augmentation and feminizing vaginoplasty, FFS and tracheal shave are done by others.  Our fees are posted on our web-site.

I certainly appreciate these are difficult economic times, and any news that recovery is around the corner is pure cheer up.   The good USA cannot be fighting wars and expending billions of dollars and printing paper money with unemployment at the rate it is, and expect prosperity.

For that reason, we do offer individual consideration to move you along, further to your goals.

Anne, our office manager is the maker of deals and the brains behind pa.  Please read over the attached and see if I am the doctor for you.

All the best,

Harold M. Reed, M.D.
305-865-2000
At 11:20 PM 10/13/2009, you wrote:

Specific_Questions: What is the cost of a total male to female make over (breast,face,voice,vagina) thanks  Jasmine

hello dr. i talked to u a few months ago about wantin depth. i had surgery in bangkok and never had a chance to to dialate. so i may have to have a skin graph done. an was wantin to know again how much would u charge me? an when can i come down for a consultation, i live in atlanta.      Virginia

Good morning Virginia,

Thank you for your continued interest in what we do.

You touched upon one of the most important aspects of  achieving a successful and enduring depth.  Dilation.

I would propose a skin graft obtained from the lower abdomen as this area should heal with a fine transverse scar, as opposed to an inner thigh graft which may always cause as second look.

Then it is dilation for 15 minutes 8 times a day with numbing cream if needed, but you must, must dilate aggressively for a few weeks.   With time, especially if you are sexually active, you can space out the sessions.

Our fee is 7600 which includes anesthesia, probable overnight with a registered private duty nurse and myself  in attendance, use of the facility and any aftercare we provide.  You will need daily visits for one week.

On the 7th post operative day, the packing will be removed, and you could return to Atlanta that day and rest for one more overnight.

We will also have to examine the lower abdomen for any hair which needs to be removed by electrolysis.  Usually that area has sparce hair growth, if at all.   If your doctors left an excessive amount of labial tissue,  we may employ that as well.  By all means we will strive to avoid a colonic vagina for many reasons probably well known to you.

Perhaps you may opt to be seen first in consultation and without committing to surgery the next day, to give you time to reflect upon my recommendations.

You will need to have a bowel prep starting the day before surgery.   There is a remote possibility that we may be able to dilate you under anesthesia avoid incisional surgery altogether.

Please reviewed the attached as many of the advisories are applicable for you.

All the best,

Harold M. Reed, M.D.
305-865-2000